2023 HESI HEALTH ASSESSMENT EXAM 2023 |TEST BANK |QUESTIONS AND ANSWERS |GUARANTEE A+ SCORE GUIDE

2023 HESI HEALTH ASSESSMENT EXAM 2023 |TEST BANK
|QUESTIONS AND ANSWERS |GUARANTEE A+ SCORE
GUIDE
An elderly patient is admitted to the hospital. While performing a skin assessment, the
nurse discovers bruises in various stages of healing all over the patient's body. Why is it
important for the nurse to promptly document and report these findings?
a.The patient may have been abused.
b.The patient is elderly.
c.The patient may have peripheral vascular disease.
d.The patient may have a cognitive deficit. - CORRECT ANSWERS-a. The patient may
have been abused
When the nurse observes the patient for general characteristics including age, gender,
and level of alertness, what aspect of assessment are you performing?
a.Inspecting
b.Interviewing
c.Palpating
d.Ausculating - CORRECT ANSWERS-a. Inspecting
The four areas to consider during the general survey include:
a. Dress, medical history, nonverbal behavior, and mobility.
b.Ethnicity, gender, age, and socioeconomic status.
c.Physical appearance, gender, ethnicity, and medical history.
d.Physical appearance, body structure, mobility, and behavior. - CORRECT
ANSWERS-d. Physical appearance, body structure, mobility, and behavior.
When reading the patient's medical record, the nurse sees the following notation:
Patient states, "I have had a cold for about a week, and I am having difficulty breathing."
This is an example of:
a.A past health history.
b.A review of systems.
c.A functioning assessment.
d.A chief compliant. - CORRECT ANSWERS-d.A chief compliant.
Normal cervical lymph nodes are:
a.Smaller than 1 cm
b.Warm and red
c.Fixed
d.Firm - CORRECT ANSWERS-a.Smaller than 1 cm
The first step to cultural competency by a nurse is to:
a.Identify the meaning of health to the patient.
b.Understand their own heritage and its basis in cultural values.
c.Develop a frame of reference to traditional health care practices.
d.Understand how a health care delivery system works. - CORRECT ANSWERSb.Understand their own heritage and its basis in cultural values.
The nurse is conducting a physical assessment of a new patient. What data does the
nurse collect that are measurable?
a.Objective
b.Effective
c.Subjective
d.Affective - CORRECT ANSWERS-a.Objective
While assessing a patient, the nurse is asking questions that help the nurse perceive
and communicate an understanding of what the patient is feeling. What is this called?
a.Caring
b.Therapeutic communication
c.Sympathy
d.Empathy - CORRECT ANSWERS-d.Empathy
Checking for skin temperature is best accomplished by using:
a.The palms of the hands.
b.The back of the hands
c.The fingertips.
d.The ventral surfaces of the hands. - CORRECT ANSWERS-b.The back of the hands
The nurse is conducting a patient interview and responds to the patient in a way that
encourages the patient to more completely describe his or her problems. What is this
called?
a.Guided questioning
b.Focusing
c.Clarification
d.Restatement - CORRECT ANSWERS-a.Guided questioning
A risk factor for melanoma is:
a.Brown eyes
b.Darkly pigmented skin
c.Use of sunscreen products
d.Skin that freckles or burns before tanning - CORRECT ANSWERS-d.Skin that
freckles or burns before tanning
What is the nurse assessing when asking the patient, "What things seem to make it
better?"
a.Relieving/exacerbating factors
b.Functional goal
c.Pain goal
d.Duration - CORRECT ANSWERS-a.Relieving/exacerbating factors
The nurse examines the nail beds of a patient. Which findings indicates a normal angle?
a.160 degrees
b.100 degrees
c.60 degrees
d.180 degrees - CORRECT ANSWERS-a.160 degrees
The nurse notes the appearance of freckles while assessing a patient's skin. What is the
appropriate term to use when documenting this finding?
a.Macules
b.Vesicles
c.Bulla
d.Patches - CORRECT ANSWERS-a.Macules
To assess for early jaundiced, the nurse should assess:
a.The lips
b.The sclera and hard palate
c.All visible skin surfaces
d.The nail beds - CORRECT ANSWERS-b.The sclera and hard palate
While assessing a patient for allergies, the patient states being allergic to penicillin.
Which response is best?
a."Please describe what happens to you when you take penicillin?"
b."How often have you received penicillin?
c."I'll write your allergy on your chart so you will not receive any."
d."Are you allergic to any other drugs?" - CORRECT ANSWERS-a."Please describe
what happens to you when you take penicillin?"